Individual
MR. LEE ALLEN DENNIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-9119
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07893
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01633358
—
MS
05
—
2371207
—
LA
Enumeration date
07/19/2014
Last updated
11/10/2014
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